Blood Pressure and Brain Health: Can Managing Hypertension Prevent Dementia?

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Coming up on this episode of the
healthy, wealthy, and wise podcast.

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We're going to talk about, we're
going to define what dementia is,

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because that's going to be part
of our two part presentation.

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We're going to find define what
Alzheimer's is, which you may

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have heard Alzheimer's disease,
because it is related to dementia.

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But we're going to try to distinguish
between the two, if you will.

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And then we're going to talk about.

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Welcome to the healthy, wealthy,
and wise podcast with Dr.

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Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years
of medical experience of this Yale

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University medical school trained
surgeon, who is also a Western state law

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school trained attorney with executive
experience being a former mayor of

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Walnut, California, as well as the
current chairman of the non profit.

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Transcripts provided by
Transcription Outsourcing, LLC.

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Good morning, everyone.

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I have a scripture for you to go
right into our session this morning.

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And my scripture comes from the Psalms
103 verses one through five, which

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everyone quite often quite, I know
they quite hold this in their heart.

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But it says, bless the Lord, O my
soul, and all that is within me.

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Bless his holy name.

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Bless the Lord, O my soul, and
forget not all his benefits.

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Who forgave all thine iniquities, who
healed all thy diseases, who redeemed

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thy life from destruction, who crowned
thee with loving kindness and tender

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mercies, who satisfied thy mouth with
good things, so that thy youth be

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renewed like the angels, like the eagles.

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Let's go to the Lord in prayer.

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Father God Almighty, I come to you
right now, Father, first of all, I

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just thank you for this opportunity.

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To be in the land of the living,
my father, once more and again.

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We thank you for the health and strength
that you've given us, my father.

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We thank you, my father, for our lying
down lifestyle and our rising up this

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morning, closing our right minds, but
all our spiritual, physical, mental

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capacities functioning properly.

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But we also thank you, my father,
for the opportunity to hear from Dr.

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Tata, my father, the servant that you sent
to us to give us the information that we

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need concerning hypertension, my father.

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Father God Almighty, you're
an awesome God, my father.

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You created us so you know
all about us, my father.

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That's why we depend on you, but yet
instead we also depend on, we trust

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and know that you send to us, my
father, with the right information.

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So bless him, my father, to present to
us what you've given him, my father.

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And we will be, we will be so
very careful to give you the

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glory, the honor, and the praise.

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Jesus Christ.

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Holy name.

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Amen.

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Dr.

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Chakta.

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Good morning.

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Good morning.

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Welcome.

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Um, I can, I can tell you
immediately you were part of history.

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This is the largest number
of people we've ever had.

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Simpson Hall at the morning session.

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So Congratulations for the
last, uh, uh, uh, 24 months.

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Um, uh, today we're very delighted to, uh,
present an interesting topic, uh, to you.

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Um, a lot of the, some may ask, well, how
do, how do I come up with these topics?

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Actually, I come up with
these topics from you.

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Uh, folks will come up to me and
say, you know, that I've talked

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to you, have you talked about
blah, blah, blah, or this or that?

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And I said, yes or no.

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And so I, I put all that together.

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The other sources every week,
I read, I don't know, 10 to 15,

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um, medical articles online.

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Um, and so I, I do that to sort of stay on
top of what's going on since I am retired.

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Um, uh, and so that's sort of
how these topics come about.

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Let me also say just, uh, one of
the things that, uh, uh, my esteemed

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colleague, brother Hammond said, I
am not president and CEO of Servants

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Arms, past the doctor he is, I'm the
chairman of the board for Servants Arms.

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I just wanted to make
sure I clarified that.

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I don't want to get in any trouble.

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I get in enough trouble as, as it is.

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But as John Lewis, former John Lewis
used to say, I try to make a good

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trouble, try to make a good trouble.

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Um, so today we're going to talk about
improving blood pressure management

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and how that can decrease dementia.

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And you might say, but wait a
second, what does blood pressure

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have to do with dementia?

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And what do you mean by
improving blood pressure?

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Uh, how, how does all that work?

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And so we're going to go through this.

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Um, and, um, Um, I get your thoughts now.

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I always, as those of you in
particular that have been following

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us for the last couple years or so,
I like to talk about what I believe.

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I like to talk about what I believe and
what, why, why, why do I actually do that?

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I do that because.

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If you know what I believe, then you
sort of know where I'm going, if that

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makes sense, you know, I mean, I can talk
about X, Y, and Z, but my purpose, uh,

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is to communicate based on my beliefs.

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Um, um, I believe life is about
being of service to others.

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I believe that that's what, that's why
I'm here and why it may be why many of

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you here is really to help other people.

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Um, I believe knowledge is power.

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Uh, started this past week, you know,
we've learned a lot about power.

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Um, and my point is, uh, that my, my
impression, my opinion is the way you

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stay empowered is by learning stuff.

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All the time.

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Learning stuff.

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Every day.

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Every day I learn something.

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Or try to learn something.

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But that empowers me.

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And the third thing is, I believe
leaders can change the world.

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Again, go back to this week.

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A lot of stuff happened this week.

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And a lot of changes need to be made.

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So I believe that the individuals who will
change things are those who are empowered.

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Uh, based on what they
learn on a continuous basis.

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I don't think you ever stop learning.

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Uh, and I don't think you
can ever learn enough.

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So that, that sort of gives you an idea
about why, why we're doing these things.

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Uh, we're going to talk about, I always
like to put up an outline, because

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the outline does two things, it lets
you know what I'm going to talk about.

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And more importantly, it lets you
know when I'm just about done.

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So I know you're all busy people
and you got things to do, and God

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bless you, you're here on a Saturday
morning either on Zoom or in

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person, uh, but you got stuff to do.

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And my point is, I respect your time.

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Um, I respect your time.

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Um, and I used to always say, I
still say, the only thing that

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I control in my life is my time.

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is my time.

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I use it wisely.

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If you see me somewhere, uh,
it's because I want to be there.

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I do not waste my time.

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Um, and, uh, so, uh, we're going to
talk about, we're going to define what

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dementia is because that's going to
be part of our two part presentation.

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Uh, we're going to find,
define what Alzheimer's is.

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Because you may have heard
Alzheimer's disease, uh, because it

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is related to dementia, uh, but we're
going to try to, um, distinguish

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between the two, if you will.

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And then we're going to talk about
how, what does all that have to

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do with your high blood pressure?

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So, you know, and so we're going to
try to answer that question for you.

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We're going to review the signs and
symptoms of each, um, um, and then

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as I said, um, talk about how it
relates to, uh, your blood pressure.

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Now, quick story about two years
ago, specifically December 2020.

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Um, in my Sunday school class,
and I see some of my Sunday school

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class members here this morning.

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Um, um, I, I decided, or I, I
approached, uh, Reverend Collins

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after church, and I said, you know,
Reverend Collins, I have this idea.

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Uh, I said, I'd like to do sort of
like a master class about stuff.

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And this is all based on, in my Sunday
school class, they used to have me do,

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you know, COVID Chats with Chalk Talk.

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COVID, actually Robin, uh, Nickens
made, uh, came up with that.

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COVID Chats with Chalk Talk.

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And this is during the COVID crisis
and they have a lot of questions

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about stuff and bleach and this and
that and all that sort of stuff.

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And I said, no, stay away from the bleach.

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And I would say, I don't care
what that guy's telling you.

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Stay away from bleach.

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It's not going to help you.

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Um, and, and so, so that was sort
of how all of this came about.

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And it was really based on the fact that
I felt it important to do something,

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um, to sort of make a contribution,
I guess is the best way I can put it.

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Um, and so I decided to do a
masterclass, because again, remember,

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I believe knowledge is power.

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Um, I, I believe that, that the
more you know, the better you can

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do and, and the happier you are.

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So I came up with the
idea of, of a masterclass.

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And so I went to Reverend Collins
and I said, well, do you think

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this is something reasonable?

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He said, oh, I think it's a great idea.

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It's really good.

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And then I talked with the, uh, Reverend
Nickens, Reverend John Nickers, who was

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also is one of the teachers, al resident.

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He loved the idea.

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I spoke with Pastor Revis and
he thought it was a good idea.

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And so that was what sort of,
so, so sort of launched this.

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Um, and I decided to
make it a master class.

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And the reason why it's a master
class is it's not a regular class.

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It's not a regular class.

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That individuals who come in here, you're
here because you want to know more.

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It's not that you don't already know.

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You know a lot of stuff.

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But what I've learned in my seven to
six years of life, uh, is that the

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people who know always learn more,
that the superstars don't stop.

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They just keep going because
that's just what they do.

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You know, that, that the one
that the A student in the

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class continues to make A's.

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She doesn't stop.

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She's always made A's.

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She's always been a high achiever.

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He's always been a high achiever.

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So those of you here online and in person,
uh, this is one of the ways that, uh, you.

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continue to identify yourself.

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Because this is about health care, I
always like to put in the providers,

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always follow your doctor's orders.

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This is not intent to, to tell
you what you should or should

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not do in contradistinction to
what your doctor's telling you

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what you should or should not do.

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Why do I say that?

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I say that because each
one of us is different.

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We're absolutely, I don't care
if we're twins, we're still

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different, medically speaking.

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medical speaker.

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My high blood pressure is going to be
different from your high blood pressure.

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My diabetes may be different
from your diabetes and I'm just

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coming up with, with ideas.

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So, so the way you know what works best
for you is to take your general knowledge

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that you learned from here and other
places and go into your doctor says,

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you know what doctor, um, I want to ask
you about blah, blah, blah, you know,

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and I want to get some ideas about blah,
blah, blah, but always remember that this

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is advisory and it's for that reason.

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My goal is to help you
to live long and thrive.

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Um, and, um, I, I never imagined that
I would be in my seventies, quite

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honestly, you know, if, if I went by
history in my family, uh, but here I am.

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And so I, I, I personally
think that that's a good thing.

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So let's jump right into it.

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What, what, what is dementia?

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So we're going to talk about two things.

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We're going to do it at once to
the dementia and Alzheimer's.

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So first thing is dementia is
a general term for decline in

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cognitive ability, thinking.

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That's what cognitive ability means.

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That includes memory losses.

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And as I said, difficulty
thinking, uh, and we're going

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to go over examples of that.

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Okay.

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Alzheimer's and, and
dementia is not a disease.

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It is not a brain disease
or anything like that.

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Dementia is something
that occurs with age.

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Uh, what are the, you know, God
bless us to be 70 plus, some of us.

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Uh, and with that, we get a
low dementia along with it.

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So it's not something that you've
done or you ate the wrong thing

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or you went to the wrong place.

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No, no.

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This is just part of your journey.

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If you will part of your journey as
it is part of my journey, uh, and it

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will be part of everybody's journey
when they get certain stages in life,

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Alzheimer's is a disease of the brain.

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Okay.

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Dementia is not a disease.

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Dementia is just something
that happens over time.

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Alzheimer's is a disease of the brain,
okay, and we'll, we'll talk about

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what those differences are, and if you
look at dementia, um, uh, as a general

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term of decrease in brain activity,
Alzheimer's is a type of dementia.

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There are other types of dementia
that we're going to talk about, and

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Alzheimer's is just one type of dementia.

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So, dementia is something that occurs
in all of us as we get older, and you

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don't have to be old to have dementia.

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You can be, um, you know, I've
got kids now that are fifty.

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They're in their fifties.

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That used to be real old of me.

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It no longer is.

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Uh, and, and so, so you, you can, you can
have dementia or 40, you know, you don't

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have to be 60 or 70 or 80 to have it.

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Uh, but, but my point is dementia
is something that occurs normally

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and it occurs differently
with different people again.

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And we're going to keep talking about
that, that everybody's a little different.

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Everybody's a little different.

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So when somebody comes up and
says, Oh, you have the same

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thing that my sister had.

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And what we did for her was, we
gave her this, we gave her that.

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And what you can just politely say,
I understand that, but my dementia

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is not like your sister's dementia.

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And you can do it with a smile,
and you can be nice, and be

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respectful, and all that.

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And you can say, well, I went to this
master class, and that's how I know that.

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Okay, still talking about,
uh, dementia and Alzheimer's.

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Remember, dementia is a general term,
uh, for impaired ability of thinking.

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We also use the term cognition.

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Cognition and thinking
mean the same thing, okay?

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Um, and, uh, and we'll talk about how all
that, um, affects us as, as we get older.

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And all of us, Uh, we'll probably
get some form of dementia.

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Remember, there are
different stages of it.

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So you can have a little dementia
or a lot of dementia, and we'll

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talk about that in terms of, of,
of how we, uh, how we distinguish.

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Now I want to take a little time
to go over a little more detail,

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uh, as, and we're just talking,
right now I'm just talking about

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dementia, the broad term of dementia.

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Recent memory, recent memory loss
that affects daily life is normal.

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Um, it is normal to forget a meetings
and names and telephone numbers.

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We all do that.

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Um, a person with dementia might have
trouble remembering conversations.

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Um, they may ask repeated questions.

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So all of us might, might forget.

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Um, Oh my goodness, I had
a meeting at three o'clock.

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What's the day?

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I just saw it.

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Today is Thursday.

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Oops.

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I missed my Wednesday meeting then.

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Uh, but we all do that.

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We all do that.

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That is not a disease.

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That is not, that's not even dementia
many times or maybe early dementia.

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Thank you for listening to the Healthy,
Wealthy and Wise podcast with Dr.

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William T.

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Choctaw, MDJD.

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You can listen again to this and
any of the previous episodes.

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00:15:58,615 --> 00:16:00,194
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00:16:00,325 --> 00:16:06,445
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00:16:06,805 --> 00:16:12,145
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00:16:12,775 --> 00:16:15,985
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00:16:16,645 --> 00:16:20,515
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00:16:20,755 --> 00:16:25,330
Then tune in for the next episode of the
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00:16:25,330 --> 00:16:30,325
William t Choctaw, MD jd, a
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